Debra Green, MD Pllc

NPI #1003047580 in New York, New York

Provider Information

NPI Number: 1003047580
Entity Type: Organization
Organization Name: Debra Green, MD Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 2, 2009
Last Updated: Oct 18, 2009

Practice Location

Address: 115 E 57TH ST
Address 2: SUITE 510
City: New York
State: New York
ZIP Code: 10022-2049
Phone: (212) 584-5402

Authorized Official

Name: DEBRA GREEN, MD
Title: SOLE MEMBER
Phone: (212) 988-3801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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